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1985-109 ( VU Tln3c CER.T114 CA.TE OF OCCUPANCY TOWN OF +QUEENSBURY. WARREN COUNTY, NEW YORK I Date .5e ber :3 I9 $g This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a On* Mtnl lj DV4e] I inq Lacatiort LG 4�.a" Calirledx @ QtC iv 6 j5$ ! C Nb . ) Owner By Order Town Board TOWN OF QUEENSBURY ALA" � r U � 0* Building tf► Zoning Iaspesetor r 4CWKATIV'E -'ONSTA'• rhINTING. GLCNS r ELLS. M T 1200$ 15101701-e4ee BUILDING PERMIT r TOWN OF QUEENSBURY No. 85_ 109 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Raymond Mills O , OWNER of property located at Lot 86 Sycamore Driv 13e St . Street, Road or Ave_ , in the Town of Queensbury, To Construct or place a One F amll V Dwe 1 inch ►'' i � at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNER'S Address is 2. CONTRACTOR or BUILDER 5 Name Danj.el Valente 3. CONTRACTOR or BUILDER'S Address Box 167 t-t a Lake Luzerner New York zco 4. ARCHITECT'S Name 0 ON W C] FS. AIRICHITECTOS AddressLE of Construction -- (Please indicate by X) ~.,,+ [D (X ) Wood Frame i ) Masonry i 1 Steel I 1 7. PLANS and Specifications 1 (cat ion 3 © ' x 56 ' per plot plan . specifications and aPP No. submit-ted including two-car attached garage and sewage s st 4 S. Proposed Use fD I one-Family Dwelling r- $ 5 . Qd C/o Paid ~ �136 • 8 5 UO PERMIT FEE PAID — TIHISPERMIT EXPIRES November 1 19 � llf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date_) t—� l9 85 Dated at the Town of Queensbury this i11th ❑ay of AT�r it LO SIGNED BY / /� for the Town of Queensbury Building and Zoning lnspecto TOWN OF QU EENSSUR.'■ (.Space inside block to ix• filled in b* Iiuilciin,� lnxlxKu�rl V11AFCf4EN t OL1N7Y. NEW YC3RK \i)pli( atiex, No. Applica#ion for lr[.t,,, Il 1,nne•d 19 BUILDING AND ZONING PERMIT r..,,iras lei \irkIrnccd IIV THREE ( 3 ) C:.apies of a PLOT PLAN, prawn to scale llc n,;I l kf showin++,,�� the actual dimensions of the lot to be built upon. T#te exact size. and locafion on the lot of the but to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION,trd` N � I �P ,IUD I `� . ' / '�. ' ... . rOWN OF OUEENSE31'lpY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING, APR y � The undersigned hereby applies for a permit to do the following work v• which will be done in accordance with the descripfion. plans and specifi- st �y�r T { d cations, and such special conditions as may be indicated on the permit. �{ T1 s 911 . ! • , The owner of this property tisr�, The person responsiibLi�e for �j upervision of the work insofar as(the .�BmIding Code and the Zoning Ordinance apply ii%L - -S.� '-" f�.C] � . C�I�' �` tP O A00RESSI . (.F1AME1 . ! G i s. Ls 5/.. . . . .. Address . . . .1 1 ..' !+4 s r-� 8 Name of Builder . � ���"'� . . , . " . �r �s ' �. � . . . . Address - . .�,J �r . . . " Name of plumber . _ '` . . ` . z =� Address . L� 'I Gz . /.�'� �_ . . " Name of Mason " . if? ! . �. A . , . . . , . , . . e" Lot Number nc . 1 4- 'r ,._p (/ Unit . . .,. . . & , . . Estimated value of proposed work f . . . . . . . . . . Name of Village . . . . , . . . . �--� Name of Street . . . s3 a ' °U c - , , . . tde of street: north . east �. south ❑ . west [] ,+ �� , - . , . . . . . . . Distance from this ^roes street . . . . . . . . . . . . . . . . • . - Ft . Nearest Cross Street . . . '�� .�`""". , . . " . . . J property is north -e, south © , east i 1 , west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest ❑ , southeast Lam , southwest (Designate by marking, with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One-family dwelling Addition to a building. Two family dwelling 71 Alteration to a building. -fatuity apartment house [] Demolition of a building. Store building 0 car attached garage Other-. Accessory Building . , . . . . . . - . One-.car detached garage El Other work. Describe: . , . . . . . . • Two-car detached garage private chicken house private storage building Other: . . . , " . . . . . . . . ZONING SPECIFICATIONS_ Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and size of the property, the location. size and setbacks of pro- posed buildings, and the location of all existing buildings - NOATN Show proposed building(s) in dotted line and existing i building(s) in solid line. ra operty . . !� - �. . . . . . . . ft. x . ./r. ?. . . . . . ft, Sine of pr Size and use of existing buildings, if any . . . • . • e . . . . . . � . . . . . . . . . . . . . . - » A m IL Size of proposed building , . . 3- . . . . {e. x Height (from grade to ridge)f » . . ft. !1" I Front yard . . . . . . . . . . . . . . . . . . . . . . . ra. . , . . . . ft. t ,:! -r.. r . . , . . ft. and . . . . J. . . . . . . . ft- Side vards . . . Rear yard . . . . . . . . ft. souT ►t If on corner. setback from side street . . . . . . . . . . . . . . . ft. Note : All distances are net, as measured from street side line to nearest part of building. ry [OVER} ! �733 M (cont'd,) BUILDING SPECIFICATIONS4 g , . Kind of construction : Wood frame, fire safe, etc. ? . . . . W Ut .�# �:• : - , . . Will any second-hand lumber be used? . . . .� L] . If so, for what? . . . r . , Material of foundation walls . . . I . . Thickness r . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . Con inuous foundation. Will there be a cellar? �� 7 �'P . , - . . .glf so, material o£ cellar fluor . . . . . . . . ' Type of roof: Sloped or flat? S �f �' . . *. . . . . . Material of roof . �`' ./J?. . . Size, wood studs . . . . . . . . . . . . . . . . . ,. x . . , . . . . . . . . . . ", spacing . . . , . . u . . "o,c., length . . . . . * :f. . ft. Size, floor beams, 1st floor . . .� . . . . . . :: x . . .r . .}. . . . . . spacing , . . . Z. . . . . . . . "`o.c-, span . . . . !°s ft_ Size, floor beams, 2nd floor . . . , . . . . x . . . / . . . ", spacing . . . . . / 6. . . . . . "o_c., span . . . !. ft. g &? . . _ . . . . . _ : ' , spacing . . _ . 1 'O.c., span . . , . . . . , . Size, ceiling beams . . . . . . . . . .� . . . . . . " x ft. Sipe, roof rafters or beams . . . . x _ J,d . . . . . . . . , ", spacing . . _ . .! _ . . . , . "o.c., span . . . .f?F . . . . , . ft. Exterior finish . . . . . ` ` 41f7U . With what material? Finish of interior walls . . . . . . . . . . . . .S. . . . � �i . . . . . . . . . . If garage is to he attached, of whatt materi_al is wall betweerkgara a aand Ina bulAing to be constructed? . . - • . d . . . . . . . . . . . . . . . . . . . .h . . . . Is there to be an opening be een Imo garage anFl building? . . . . . .t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . =: t� t . . , . , I . . . . . . . . . . . . . Oil bunter or coal? . . . . . . . . . . . . . . . Will aflue-lined chimney be provided? . . G S . Depth of chimney foundation below grade . . . . �� . . ' ' ' . . . . . . . . . Height of chimney above roof. " Will there he a fireplace? . , . . V.4'p. . . . Depth of fireplace hearth . . . . f. °�. . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . , , , Will a kitchen sink be installed and connected to water supply? . . . ./4'.s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . 6cG - .t :w t; - . . . . . . Distance of cesspool from any private well . . . . . , _ . , - -: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . , . X4_� f Town of Queensbury AFFIDAVIT County of Warren State of New 'York I swear that w tic jbSat of my knowledge and belief the statements contained in ppiicwtion: t[rgetber with the �a ifs and speoificwtions atih- mitted, area true and au.,. Ictc atatemetat of all proposed work to lac done ran bed pw.+.. a that an lofts of the BULi,D ING CODE, THE ZONING ORDINANCE, and all other laws pertaining w pro works b77pvd , whether specified or uot.and that such work is authorised by the owner.Sworn to before me this Signature . . . . . . .. . ... . . _. OWNER. OW R'S GENT, ARCMITECT. C&iiKACT6ti - - -- - day of. . .. .. . . .. . . .. . . .... . . .. . . . . . . . 19 NOTARY PUBLIC. WARREN COUNTY, N, Y. SPECIAL CONDITIONS OF THE PERMIT: By .. .. . . ..... _. . .. . . . .. . . ...... ., .... . . . .,. .. .. .,.... . . . TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for % BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE 'ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings : 1 . Gross floor area 2 . Type of heat 3m is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . UQ value of gross area of walls roof/ ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NO a . if YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a , R value of insulation 5 . Type of insulation B . Under 16 % Only i . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area O ' ` 4 , R value of moors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab r_ ... . . . e , R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) lo . Type of insulation C . Controls ^t7 1 . Thermostat maximum heat setting ' D . Duct Systems 1 * is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . R value of duct in other areas E . pipin insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 , Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . L � � �� G ( applicant ' s signature ) TOWN OF QUFFNSBURY BUILDING & ZONING DFPPRTMFN'T" SFWAGF DISPOSAI, PFRM3 'T' APPLICA71ON 1 . Owner ' s Name �ryy.ysrz %Gres Address Telephone No . 2 . Property location '//1 L .S 3 . Name of person or firm responsible for installing system �?/ Telephone No . Address r1`..._ C <.i. � r2 - � ;xr 4 . Number of bedrooms ( residential buildings only ) 3 5 . -Daily flow gallons/day 6 _ Septic tank capacity. /� C fi -� L- : _ gallons 7 . Topography : flat rolling , steep % of slope 80 Nature of soil and depthi �- r(7 9 . .. .If ground water , bedrock or impery ous material ia :apparent at what depth does it begin? to 10 . Percolation test : A is required g is not required C if required what is the rate minutes/inch 11 , Water supply : municipal , well , other 12 . Type of system proposedz drywell tile flel , other Any contractor ,. corporation , individual ■ etc * engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does -not,• have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as pkovid for in . section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date signature of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structurep distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 82 TOWN OF QUEENSSURY Su'ORI VIS T)e3+=rcearaeent InspecOXWO RAVOW% Date NaI a+ an Neillweac�e� Peen=it No. Remarks gxcatya ti on Foo III n Forms Footin & piers Foxanda ti on Cement Coat Water roofzn Bacicfill Final Surve Fxamin Shea thin RaoaF Fel It Roofin Sidi. Mason r veneer Rote h Plb - Relief Valves Wall Board Ext . Porches Finished Floor interior Trim ai] in Stairs & R s Cellar Dr . Tile Concrete Floors - PI Fixtures Gar . Fire roofin Door Closers Chimne - --- -- Water Meter Xnst . _. Se tic A roval Floors groura� d-�-a tren -Insulation Walls Ceilinn�--- -- �- Hui ding .rnsPector REMAPKS TOWN OF C EEN SSU RY 8 olding. Department [r�ra+d'ioes /y?1Gd Naews l ..�raoa weer Parn3fit No. Revo rhs lie Excati'a to on Footi. Fob Foot4n & Piers Foundation Cement Coat Water roofin Back€ill Final Surve Fraarin Sheath! Roof Felt E?. Roo fin Sidi MagoTtru Veneer Rau h PI Relief Valves Wa.II Board C L 04 T Sxt . Porches r4-4y.r. f{, i,r4U Finished Floor t 9S€ or © 2. Interior Trim 6- ,Stairs & Raili 40 Cellar Dr . Tile Concrete Floors Pl Fixtures wf1 x C. S wlu r Arc Gar . Fire x0ofin R Door Closers C Imne Water Meter Inst , Se tic A roval Floors �_ -- -�— Foundatian Insulation Walls Ceilin Building Inspector REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �4UO2142 41 STATE STREET, ALBANY, NEW YOFtK 112207 /� �+ /� Q °� ^ f lad i, Application No. on file 078486i 85� A 6 4 J J 3 0 Date 5eptemeber 27 , 1935 THIS CERTIFIES THAT tlonnuberrLn theprev"I"I of only the e 'lecsrieal equipvftAmtAN described below and introahmed by the applicant named on the above op�Plics m y Hil3s , Sycess�nre Drive , Queensbury . taeTa York w' in the following location, ® $aserrsent ]C ]at Ff. ❑. 8nd Ft. Otitolde Section Block Lot was examined on 8 3o /85 anal found to be in compliance with the reQuire..aents of this Board. FIXTURES RANGES (COOKING PECKS OVENS DISH WASHERS EXHAUST FANS K. W. FIXTURE ^Cll SWITCHES LE INCANDUAMwT FLUOR8IIII V AAtT. K. W. AMT_ K. W. AMT. K.W. AMT. OUTTS 3 Fro 27 52 21 25 2 FURNACE MOTORS PUTURR AF*UANCE FEEDERS SPECIAL REC"FT TIME CLOCLCS EELL U CATERS �,�S� D DRYERS TRAMS- AMT. H. �. AMt.' WAYTs AMT. K. W. CAL H. P, GAS H. P. AMT. NO. A.W. G, AMT, AMP. AMT. AMPS. MO, OF FRET 1 range 3#6 E R I C E V SERVICE DISCONNECT M f@ NO, OF CC. CONt. A. W. G. NO. OP HI.LEG A.w. G. NO. C F NEUTRALS dF I!U RAL 10 7W 1 X 31N 9 X 3w 3 X 4W PfR 4 OF CC. COHra. OF HI-LEG AMT. J1A1r. TYPE E/i111P. 1 200 OTHER APPARATUS: _ 1- 4 . 5k .Ta « - Water flestE t Electric Heaters : 3- 2 .t7 k »1r . 2- :L. . r k .w . 1- 15 amp- G .P . X . 4- 1wO kov . 2w 5clake Detectors 3- 075 kcou* 239 Ray Perry Old stage Road BRANCH MANAGER Lake i u�erne . New York 12846 COPY FOR BUILDING DEPARTIMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSSURY Buildims p6P&rt=eyAt Laspoeftwe Repwt kion P 'No. C:� W emat�rrr • Rema rlcs ExcarYa t lon _ F tin Forms Footin & Piers Foundation Cement Coat Water roofin Backfill Final Surve _ Fra+mi-n Sheathin Roof Felt Roo fin Sidingr Masonr f/eneer Rou h Pl Relief Valves Wall 8aard Sxt . Porches Finished Floor Interior q r.im Stairs & lgai.lin a Cellar pr . Tile Concrete Floors Pl_ Fixtures Gar . Fire roofin Door Closers Chimne Water Meter znst . Se tic A royal. F Cora --- Foundation xnsulat.ian WStllg Ceiling c Build pector REMARKS mI Valente Builders , Inc . Route 9N Pride and Workmanship is Lake Luzerne , N .Y . 12846 the Foundation of Our Homes Phone ( 518) 696- 2689 62> � f ;,sue _ �- G-�� cam. . '`�• 1/ Y TOWN OF Q►UEENSSURY Building Department In.pofta s R+epwt Date�I'', � L.acatiCM d �+ Permit No. — w tle� 72ema rxs Bxcaoation Foot-in Forms Footing & Piers Foundation Cement Coat Water roofin Baacxfil l Final Surve Framin Sheathin Roof Felt Roofing Slain masonry Veneer Rauerh Pl Relief Valves Wall., Board Ext . parches Finished Floor x1fterior Trim Stairs & Railin Is Cellar DrII, Tile Concrete Floors pl . Fixtures Gar . Fire roofi.n -- - Door Closers Chimne Water Pieter Inst , Se tic A royal _ Floors Foundation Insulation Walls _ Ceilin Bps In Inspector REMARKS TOWN OF C EENSBURY Building Department tIMAPI Report Dept,'Y� Name r Pennit. Na. W e�►t]aQ! Remarks FoOtin Forms Fo ina & Piers Foundation Cement Coat Water roofin Baclrfi l I Final Surve Framin ,Sheathin Roof Felt Roofin Siding Masonru Veneer Rots h P3 Relief Valves Wall Board Ext , Porches Finished Floor Interior 'Trim Stairs & Bailin s cellar Dr . Tile concrete Floors Pl . Fixtures Gar . Fire roofin poor Closers Criimne Water Meter Inst , Septic A raval Floors . Foundation Insulation Walls Ceili.ri f / inspector n _p., ctor $Ll11.Cti ng .r.raa,y��- �..... REMARKS